MEDICARE: DR. RAFIK WASSEF SADDEEK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	247880	NY

General Provider Information

NPI Number	:	1033381538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAFIK WASSEF SADDEEK M.D.

Provider Business Mailing Address
First Line	:	80 LA SALLE ST
Second Line	:	# 2 C
City	:	NEW YORK
State	:	NY
Zip	:	10027-4711
Country	:	US
Telephone Number	:	917-531-3176
Fax Number	:

Provider Business Practice Location Address
First Line	:	80 LA SALLE ST
Second Line	:	# 2 C
City	:	NEW YORK
State	:	NY
Zip	:	10027-4711
Country	:	US
Telephone Number	:	917-531-3176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2008
Last Update Date	:	03/25/2008

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